Organization · Type 2 NPI

Premise Health of Illinois Medical PC

Primary Care Clinic/Center · Mount Vernon, IL

NPI number 1427366921 Active

Practice location

5100 Lake Terrance NE
Mount Vernon, IL 62864-9665

Call (618) 899-5001 Map

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center Primary	261QP2300X	None listed
Occupational Medicine Clinic/Center	261QX0100X	None listed

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NPI record

NPI: 1427366921
Entity type: Organization (Type 2)
Issued: Sep 17, 2010
Last updated: Feb 4, 2026
Status: Active

Other names

<unavail>
Mount Vernon Health Center MT Vernon · doing business as
Mount Vernon Healthy Living Center · doing business as
Mount Vernon Healthy Living Center · doing business as

Authorized official

Edward William Schwartz
President
(844) 407-7557

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1427366921

Premise Health of Illinois Medical PC's National Provider Identifier is 1427366921, issued on Sep 17, 2010. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Mount Vernon, IL. The record was last updated on Feb 4, 2026.